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Severe coronary spasm in a COVID‐19 patient
Author(s) -
Rivero Fernando,
Antuña Paula,
Cuesta Javier,
Alfonso Fernando
Publication year - 2021
Publication title -
catheterization and cardiovascular interventions
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.988
H-Index - 116
eISSN - 1522-726X
pISSN - 1522-1946
DOI - 10.1002/ccd.29056
Subject(s) - medicine , coronary vasospasm , cardiology , covid-19 , acute coronary syndrome , vasospasm , pathophysiology , coronary arteries , st elevation , electrocardiography , coronary angiography , artery , subarachnoid hemorrhage , disease , myocardial infarction , pathology , infectious disease (medical specialty) , outbreak
Myocardial injury is frequently detected in coronavirus disease 2019 (COVID‐19) patients. However, up to one‐third of COVID‐19 patients showing ST‐segment elevation on the electrocardiogram have angiographically normal coronary arteries. We present a case of an acute coronary syndrome due to a coronary spasm in a severe acute respiratory syndrome coronavirus 2 (SARS‐CoV‐2) patient. This pathophysiological mechanism was clearly demonstrated by intracoronary imaging techniques (optical coherence tomography) and invasive vasospasm test.